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Nursing homeFAID #14321

Avir At Grand Saline

1638 VZ CR 1803, GRAND SALINE, TX, 75140

(903) 962-7595

120 licensed beds

CMS rates Avir At Grand Saline 3 out of 5 overall. Federal inspectors issued 30 citations across 12 inspections in the last three years, with $8,410 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · Country Trails Wellness and Rehab Center

Address

1638 Vz Cr 1803

Grand Saline, TX 75140

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Public record summary

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Bed capacity

120

CMS facility ID

675878

Care type

Nursing home

County

Van Zandt

Facility name

Avir At Grand Saline

Street address

1638 VZ CR 1803

City / state / ZIP

Grand Saline, TX 75140

Phone

(903) 962-7595

Website

avirhg.com/avir-at-grand-saline

About this facility — Avir At Grand Saline

Avir At Grand Saline is a Medicare/Medicaid-certified skilled nursing facility in Grand Saline, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 3 senior care facilities in Grand Saline and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Grand Saline 30 times across 12 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $8,410 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avir Health Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

1638 Vr Cr 1803 Holdings, Llc

Direct owner — 100% stake — since 2025

Tx Snf Holdings ,llc

Indirect owner — 100% stake — since 2025

1638 Vz Cr 1803 Property Owner, Llc

Security-interest holder · Additional disclosable party — since 2025

Freund, Nochum

Operational control — since 2025

Mayhugh, Linda

Operational control · Additional disclosable party — since 2025

Travitsky, Aaron

Operational control — since 2025

Welltower Inc

Security-interest holder · Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Security-interest holder · Additional disclosable party — since 2020

Welltower Op Llc

Security-interest holder · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

2001-07-03

CMS overall rating

3 of 5 stars

Health deficiencies

18 at the last standard inspection

Federal fines

$8,410 total

Last standard inspection

2026-02-04

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$190 per day (≈ $5,780/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

69% Medicaid · 9% Medicare · 22% private/other

Occupancy

55% (fiscal year 2023)

Vs. state median

31% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-27Health inspectionComplaint-triggered3 citations

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-08-22

F-0744

D · No harm foundFrom a complaint

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2026-08-22

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-08-22

2026-06-13Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-07-05

9 earlier / fire-safety inspections (26 citations)

2026-03-22Health inspectionComplaint-triggered1 citation

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-03-26

2026-02-04Health inspectionComplaint-triggered7 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-03-21

F-0645

E · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-03-21

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-03-21

F-0680

D · No harm found

Ensure the activities program is directed by a qualified professional.

Corrected 2026-03-21

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-03-21

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-03-21

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-21

2025-10-29Health inspectionComplaint-triggered6 citations

F-0552

D · No harm foundFrom a complaint

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-12-01

F-0553

D · No harm foundFrom a complaint

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-12-01

F-0636

D · No harm foundFrom a complaint

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-12-01

F-0655

E · No harm foundFrom a complaint

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-12-01

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-12-01

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-09

2025-05-09Health inspectionComplaint-triggered3 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-10

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-10

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-05-10

2024-11-13Health inspection3 citations

F-0726

D · No harm found

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-11-14

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-14

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-11-14

2023-10-18Health inspection1 citation

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-10-19

2026-02-04Fire-safety inspection2 citations

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-02-05

K-0929

E · No harm found

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2026-02-05

2024-11-13Fire-safety inspection2 citations

K-0343

E · No harm found

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-11-27

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-27

2023-10-18Fire-safety inspection1 citation

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-11-08

Federal penalties

2025-10-29Fine$8,410

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675878.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 40% of nursing homes in the state

State median: 33

Federal fines, 3 years

$8,410

More than 38% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.6

Higher than 76% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

51%

Higher than 51% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 8 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	15.6%	15.8%	13.5%	Near state average
Lose too much weight	2.9%	2.9%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.3%	0.8%	1.5%	Better than state
Have depressive symptoms	1.1%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	5.4%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	99.7%	96.4%	93.7%	Near state average
Ability to walk independently worsened	12.8%	12.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	35.1%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	7.0%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	13.1%	12.5%	18.3%	Near state average
Received an antipsychotic medication	11.5%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.37	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.81	1.97	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	97.0%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	4.8%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	98.5%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	8.8%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	7.6%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What its owners also hold

Tx Snf Holdings ,llc has an ownership stake on file at 4 nursing homes, averaging 2.5 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Ut Health East Texas Quitman Hospital, about 18 miles. CMS rating 4 of 5.
Christus Mother Frances Hospital- Winnsboro, about 30 miles.
Christus Mother Frances Hospital, about 34 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Azalea Trail Nursing and Rehabilitation Center, Grand Saline, about 0.5 miles. CMS rating 5 of 5.
Avir At Bradburn, Grand Saline, about 0.8 miles. CMS rating 1 of 5.
Van Healthcare, Van, about 12 miles. CMS rating 3 of 5.
Avir At Mineola, Mineola, about 13 miles. CMS rating 2 of 5.
Canton Oaks, Canton, about 13 miles. CMS rating 4 of 5.

Visitor reviews

What people say on Google.

3.825 ratings on Google

★FTC G · 2025-11-27 · via Google
“Thought it would be a good place but my grand mother has had medical incidents due to the staff not giving her medication on time. Also feeds them terrible food and rarely gives her showers. I respect a few of the workers but some are terrible and rude. Honestly for taking her whole monthly check it’s not worth it at all. May have to seek legal support to do something about this. They are risking …”

★★★★★Gods Warrior · 2024-12-10 · via Google
“I read back on some of the old reviews. A friend's granny was here a few years back & they had only positive things to say. My Mom has been here a couple of years now & I have had only positive experiences, too. I go visit at random times, & it's NOT like walking into the home in Chandler & other places where there's a distinct smell of urine in the air. Country Trails has always been clean (not f…”

★Mels_iscreamcone · 2026-05-17 · via Google
“Place is horrible they let my grandmother geta horrible infection in her neck dont give her showers and there is horrible food and they don't take care of the dementia/memory lost patients this lady was trying to find her room clearly confused and the staff dismissed it so I helped her get back and told them she was distressed and look ready to cry they didnt even care just said "oh she is confuse…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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Ownership & corporate history

Primary tier

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Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 30 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

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